| Steven Nelson, Phd, Inc. | |
|
140 E. Broadway Ave. Suite 25 Jackson WY 83001-0516 | |
| (307) 739-9500 | |
| (307) 733-2837 |
| Full Name | Steven Nelson, Phd, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 140 E. Broadway Ave., Jackson, Wyoming |
| Authorized Official Name and Position | Steven Nelson (PRESIDENT) |
| Authorized Official Contact | 3077399500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Nelson, Phd, Inc. Po Box 516 Jackson WY 83001-0516 Ph: (307) 739-9500 | Steven Nelson, Phd, Inc. 140 E. Broadway Ave. Suite 25 Jackson WY 83001-0516 Ph: (307) 739-9500 |
| NPI Number | 1154624112 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154624112 | NPI | - | NPPES |
| 1538211388 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 287 (Wyoming) | Primary |
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